Site Plan Approval Application
For office use only
Application received date (YYYY MM DD)
The Corporation of the City of London
Development & Compliance Services,
Development Services
Application acceptance date (YYYY MM DD)
SITE PLAN
FILE
NUMBER
Applicant information
APPLICANT's name
Telephone number
SOLICITOR's name
Telephone number
Street address
Fax number/E-mail
Street address
Fax number/E-mail
City
Province
Postal Code
City
Province
Telephone number
AGENT's name
OWNER's name
Postal Code
Telephone number
Street address
Fax number/E-mail
Street address
Fax number/E-mail
City
Province
City
Province
Send communications to (check one only):
Postal Code
Applicant
Owner
Solicitor
Postal Code
Agent
Property information
Dimension of property
Frontage (m)
Street address
Nearest cross street(s)
Depth (m)
Legal description of lands subject of application
Registered plan number
Lot/Block number
Lot area (sq m)
Present use of land
Property development
Does the proposed development include the
demolition of existing buildings?
Yes
No. of residential units to be demolished.
Has an application been submitted for:
Rezoning (Planning)?
Yes
No
No
Nature of propsed development (uses)
Commercial
Industrial
Institutional
Variance (Committee of Adjustment?
Yes
No
Apartment
Townhouse
Zero lot line/SFD
Number of storeys
Building height
Building area (ground floor area)
Gross floor area (total of all floors, including
basement)
Number of buildings
Number of residential units
Coverage (%)
Number of parking spaces (total)
Attachments
No. of Plans
Minimum Application Requirement
Site services/grading
8
Plus one reduction 8½"x14"
14 full size (folded)
Plus one reduction 8½"x14"
Landscape
4
Plus one reduction 8½"x14"
4
Plus one reduction 8½"x14"
Digital submission
1
Record of consultation
1
1
Plan of survey
(requirement may be waived)
Site plan
(to include location plan & existing conditions)
Building elevations
No. of Plans
Reference should be made to the City of London Site Plan Control By-law and Policies before proceeding with the preparation of any
plans. Plans should be folded to a size not to exceed 21.6 cm (8½ ") x 35.6 cm (14") and in electronic PDF format. Additional plans
may be requested. A separate application for a building permit is required. Applications left unattended by the applicant for more
than three months will be cancelled.
NOTE: Failure to complete any part of this form may result in its being returned to the Applicant.
Measurements are to be provided in metric units.
I,
hereby declare that the statements made herein are to the best
(Please print your name.)
of my belief and knowledge, a true and complete representation of the purpose and intent of this application.
Applicant's signature
Date (Year, Month, Day)
Return application to: Development Services, City Hall, 300 Dufferin Avenue, P O Box 5035, London, Ontario N6A 4L9
OFFICE USE ONLY - APPLICATION FEE
Residential
Form. no. 0276 (rev.2011.09)
Non-residential
Amendment
Fire route application
White: Development Services
TOTAL FEE
Canary: Applicant